0001437749-12-009115.txt : 20120904 0001437749-12-009115.hdr.sgml : 20120903 20120904180644 ACCESSION NUMBER: 0001437749-12-009115 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120824 FILED AS OF DATE: 20120904 DATE AS OF CHANGE: 20120904 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HAGAN JOHN RONALD JR CENTRAL INDEX KEY: 0001557138 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14170 FILM NUMBER: 121071910 MAIL ADDRESS: STREET 1: 8100 SW 10TH STREET STREET 2: SUITE 4000 CITY: PLANTATION STATE: FL ZIP: 33324 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NATIONAL BEVERAGE CORP CENTRAL INDEX KEY: 0000069891 STANDARD INDUSTRIAL CLASSIFICATION: BOTTLED & CANNED SOFT DRINKS CARBONATED WATERS [2086] IRS NUMBER: 592605822 STATE OF INCORPORATION: DE FISCAL YEAR END: 0430 BUSINESS ADDRESS: STREET 1: 8100 SW 10TH STREET STREET 2: SUITE 4000 CITY: FT. LAUDERDALE STATE: FL ZIP: 33324 BUSINESS PHONE: 9545810922 MAIL ADDRESS: STREET 1: 8100 SW 10TH STREET STREET 2: SUITE 4000 CITY: FT. LAUDERDALE STATE: FL ZIP: 33324 3 1 rdgdoc.xml PRIMARY DOCUMENT X0206 3 2012-08-24 1 0000069891 NATIONAL BEVERAGE CORP FIZZ 0001557138 HAGAN JOHN RONALD JR 8100 SW 10TH STREET SUITE 4000 PLANTATION FL 33324 1 SEVP, Shasta Beverages, Inc. /s/ John R. Hagan 2012-09-04